Nicole Gordon, PT
Individual provider Active NPI Physical Therapist · Washington, MI
NPI 1386928307 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1386928307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501009680 (MI)
- Practice address
- 65422 Van Dyke Ave Suite 200
Washington, MI 48095 - Phone
- (586) 935-1100
- Fax
- (586) 935-1101
- NPI assigned
- Oct 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
64541 Van Dyke Rd
Washington TWP, MI 48095-2570
Phone (586) 935-1100
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120620000443 | MI | Practitioner - Physical Therapist in Private Practice | 0648434845 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
| University Neurosurgical Associates, PC | Current |
Accepting new patients | |
| University Neurosurgical Associates PC | Current |
Accepting new patients | |
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2319 Momentum Pl
Chicago, IL 60689
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
15520 19 Mile Rd
Ste 450
Clinton Twp, MI 48038
Phone (586) 416-2000
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300
64541 Van Dyke Rd
Ste 103
Washington Twp, MI 48095
Phone (586) 395-1100
64541 Van Dyke Rd
Washington Twp, MI 48095
Phone (586) 935-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009680 | MI | Yes |
Addresses
Primary practice location
65422 Van Dyke Ave Suite 200
Washington, MI 48095
Mailing address
33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Other names
- Nicole Collet
Other providers in Washington, MI
- Taryn Lee Gladwish
- Roman Glazewski
- Reta Goga
- Keli Elizabeth Gogo
- Golden Nest Home Care Inc
- Marcie Gore
- Gregory E. Gould
- Gregory E. Gould DO PC
- Juli Ann Grover
- Patricia M Hall
All providers in Washington, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.